Prevalence of Chlamydia trachomatis and its associated factors among sexually active women in a high HIV-burden region, Western Kenya using Point-of-Care approach
More details
Hide details
Pan African University of Life and Earth Sciences Including Health and Agriculture, Kenya
Centre for Disease Control (CDC), Kenya
University College Hospital, University of Ibadan, Nigeria
Publication date: 2023-04-27
Popul. Med. 2023;5(Supplement):A1039
  Background: 7.5%) participants tested Chlamydia-positive and were treated. Chlamydia positivity was highest (48.3%) among inconsistent condom users and lowest (10.3%) among non-users. Women in polygamous and low education had higher prevalence (7.3%). The age group 18-25 years had the highest positivity (79%; 5.7%). Factors associated with Chlamydia were: multiple sexual partners, adjusted odds ratio (aOR) 15.7 (95% CI: 2.1, 120); being HIV-infected aOR 4.0 (95% CI: 1.3, 12.5); and having UTI aOR 4.3, (95% CI: 1.8,10.7). Nearly all participants (92%) had no explicit knowledge of the symptoms or effects of Chlamydia. Self-collection of vaginal swabs was highly acceptable (99.7%). Conclusions: Chlamydia infections are prevalent among women with multiple sexual partners, who have other STIs, or inconsistently use condoms. Most women had poor knowledge of symptoms and Chlamydia-associated risk factors; therefore, awareness may ease the STI burden. Using Chlamydia POC diagnostic tests, provision of same-day Results and treatment is feasible.